Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rejuvenate Light and Vision Center

Organization Optometrist · NPI 1366396889

Rejuvenate Light and Vision Center is an Optometrist in Nixa, Missouri. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4

Practice location Address checks out

220 N Massey Blvd
Nixa, MO 65714-8324
Phone: (417) 374-1088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Corneal and Contact Management Optometrist Taxonomy 152WC0802X
Pediatric Optometrist Taxonomy 152WP0200X
Vision Therapy Optometrist Taxonomy 152WV0400X

Record details

NPI number1366396889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cade Kowallis — Owner · (417) 604-0188
NPI enumeratedFebruary 23, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address220 N Massey Blvd, Nixa, MO 65714-8324

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